NURSING > EXAM > ATI PN COMPREHENSIVE EXIT EXAM | 100% correct answers (All)

ATI PN COMPREHENSIVE EXIT EXAM | 100% correct answers

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1. The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm. Which will be the best explanation for diet progression after surgery? “Start with clear liquids, soup, and crackers. Advance to a normal diet a. as tolerated.” “Stay with ice chips for several hours. After that, you can have b. whatever you want.” “Stay on clear liquids for 24 hours. Then you can progress to a normal c. diet.” “Start with clear liquids for 2 hours and then full liquids for 2 hours. d. Then progress to a normal diet.” ANS: A Patients usually receive a normal diet the first evening after surgery unless they have undergone surgery on GI structures. Implement diet intake while judging the patient’s response. For example, provide clear liquids such as water, apple juice, broth, or tea after nausea subsides. If the patient tolerates liquids without nausea, advance the diet as ordered. There is no need to stay on ice chips for several hours or clear liquids for 24 hours after this procedure. Putting a time frame on the progression is too prescriptive. Progression should be adjusted for the patient’s needs. 2. The nurse explains the pain relief measures available after surgery during preoperative teaching for a surgical patient. Which comment from the patient indicates the need for additional education on this topic? a. “I will be asked to rate my pain on a pain scale.” b. “I will have minimal pain because of the anesthesia.” c. “I will take the pain medication as the provider prescribes it.” “I will take my pain medications before doing postoperative d. exercises.” ANS: B Anesthesia will be provided during the procedure itself, and the patient should not experience pain during the procedure; however, this will not minimize the pain after surgery. Pain management is utilized after the postoperative phase. Inform the patient of interventions available for pain relief, including medication, relaxation, and distraction. The patient needs to know and understand how to take the medications that the health care provider will prescribe postoperatively. During the stay in the facility, the level of pain is frequently assessed by the nurses. Coordinating pain medication with postoperative exercises helps to minimize discomfort and allows the exercises to be more effective. 3. The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse? a. “There is no need for an additional person at the appointment.” b. “Your family can come and wait with you in the waiting room.” c. “We recommend including family members at this appointment.” d. “It is required that you have a family member at this appoi

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